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General NPI Number Information
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NPI Number | 1679897755
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Entity Type | Organization
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Legal Business Name | ANESTHESIA ASSOCIATES OF VENTURA COUNTY, INC.
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Dates
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Enumeration Date | 03/18/2010
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Last Update Date | 03/18/2010
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Provider Practice Location Address
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Address Line | 3291 LOMA VISTA RD
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City | VENTURA
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State | CA
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Zip | 93003-3099
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Country | US
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Telephone | 805-652-6656
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Fax | 805-652-6286
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Provider Business Mailing Address
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Address Line | 3116 W MARCH LN STE 200
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City | STOCKTON
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State | CA
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Zip | 95219-2369
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Country | US
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Telephone | 209-473-6555
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Fax | 209-473-6544
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | DR. DAVID J. FISHMAN
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Credential | MD
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Telephone | 209-473-6555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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